Thursday 31 December 2015

PRO/AH/EDR> MERS-COV (167): acute management and long-term survival

MERS -- Saudi Arabia
Khalid I, Alraddadi BM, Dairi Y, et al. Acute Management and Long-Term Survival Among Subjects With Severe Middle East Respiratory Syndrome Coronavirus Pneumonia and ARDS. Respir Care. 2015 Dec 23 pii: respcare.04325.
BACKGROUND:
Data on the management, clinical course, and outcome of critical patients with Middle East respiratory syndrome coronavirus are scarce. We report here our experience and long-term outcome of such patients.
METHODS:
Subjects intubated for management of ARDS

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PRO/EDR> Zika virus - Americas (05)

Zika virus -- Mexico


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PRO/EDR> Chikungunya (38): Americas

Chikungunya -- Worldwide/Unknown
Cases by Country / Week / (Local Susp. / Local Conf. / Imported Conf. / Deaths
North America
Mexico / week 50 [week ending 18 Dec 2015] / 0 / 11 199 / 20 / 0
USA / week 50 [week ending 18 Dec 2015] / 0 / 0 / 653 / 0
Central America (no recent reports)
---
Latin Caribbean
---
French Guiana / week 50 [week ending 18 Dec 2015] / 6960 / 1759 / 0 / 2
Non-Latin Caribbean
---
US Virgin Islands / week 49 [week ending 11 Dec 2015] / 94 / 24 / 0 / 0
Andean Area
---
Colombia /

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PRO/EDR> Measles update (44)

Measles -- Malaysia
Background
MSF response to 2015 Measles outbreak
--------------------
A measles epidemic has been raging since the beginning of the year (2015) in the former province of Katanga in the southeast of Democratic Republic of Congo (DRC). According to the Ministry of Public Health, as of 20 Nov 2015 a total of 39 619 cases including 474 deaths have been officially reported in Katanga since early 2015. More than 77 percent of children affected were aged 1-5 years, and 88 percent of the children

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PRO/EDR> Dengue/DHF update (39): Americas, Asia, Africa

Dengue -- Worldwide/Unknown


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Wednesday 30 December 2015

PRO/AH/EDR> Ebola update (138): WHO, Guinea free, payroll software, S. Africa prevention

Ebola -- Guinea
Today [29 Dec 2015] the World Health Organization (WHO) declares the end of Ebola virus transmission in the Republic of Guinea; 42 days have passed since the last person confirmed to have Ebola virus disease tested negative for the 2nd time. Guinea now enters a 90-day period of heightened surveillance to ensure that any new cases are identified quickly before they can spread to other people.
"WHO commends the Government of Guinea and its people on the significant achievement of ending its

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PRO/AH/EDR> MERS-COV (166): Saudi Arabia (AQ)

MERS -- Saudi Arabia
Since 2012 (to date 30 Dec 2015), there have been a total of:
1278 cases of laboratory-confirmed MERS-CoV, including 1 asymptomatic,
551 deaths (43 per cent),
729 recoveries (56.8 per cent), and
3 currently active cases (0.2 per cent).
On 30 Dec 2015, there were reported a total of:
1 newly confirmed symptomatic case,
0 newly reported deaths,
0 newly reported recoveries
Information on newly reported case:
1 - (30 Dec 2015) - Unizah; 59-year-old male, Saudi, critical condition,

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PRO/AH/EDR> Yellow Fever - Americas (14): Brazil (RN) susp, RFI

Yellow Fever -- Brazil
Rio Grande do Norte investigates a yellow fever [YF] death - the 1st case in 73 years
------
The state Secretariat of Public Health of Rio Grande do Norte (SESAP) reported that this Tuesday (29 [Dec 2015]) they are investigating the death of a woman in July [2015] in Natal for which tests gave a positive result for yellow fever (YF). This case has attracted attention because the state is not classified as a YF risk area by the Ministry of Health and there have been no occurrences in the

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PRO/AH/EDR> Classical swine fever & Actinobacillus pleuropneumoniae - China: (SX) mixed infection

Classical Swine Fever, Pneumonia -- China
Disease Situation: Recently, on a pig farm in Fushan County [Linshen Municipality in Shanxi Province] with 179 head of piglets of around 30 kg, there appeared fever, shivers, cyanosis, and multiple deaths. Treatment regimens for CSF and HPS infection were initially followed. First, Radix Isatidis injections, Bupleurum injections, Sulfamonomethoxine tablets, and cephalosporins were used with poor effects. Then, treatment regimens for swine paratyphoid were followed, using mainly Florfenicol

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PRO/AH/EDR> Avian influenza, human (137): China (GD) H5N6

Avian Influenza H5N6 -- China
The Centre for Health Protection (CHP) of the Department of Health (DH) has been notified of a confirmed human case of avian influenza A(H5N6) by the Health and Family Planning Commission of Guangdong Province today (29 Dec 2015) affecting a 26-year-old woman in Shenzhen. The patient lives in Bao'an, Shenzhen. She is currently hospitalised for treatment and in a critical condition.
A spokesman for the DH said, "All novel influenza A infections (including H5N6) are notifiable diseases in

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Tuesday 29 December 2015

PRO/AH/EDR> Foot & mouth disease - Saudi Arabia (03): st. A Asia, gt. VII, spread, OIE, RFI

Foot and Mouth -- Saudi Arabia
Information received on 27 Dec 2015 from Mr Abdulghani Y. M. Al Fadhl, Director General, Animal and Plant Quarantine Department, Ministry of Agriculture, Riyadh, Saudi Arabia
Summary
Report type: Follow-up report No. 1 (Final report)
Date of start of the event: 13 Sep 2015
Date of confirmation of the event: 16 Oct 2015
Report date: 27 Dec 2015
Date submitted to OIE: 27 Dec 2015
Date event resolved: 15 Nov 2015
Reason for notification: New strain of a listed disease

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PRO/EDR> Syphilis - Japan (02): increased incidence

Syphilis -- Japan
The number of new syphilis patients in Japan has surpassed 2000 in 2015, statistics showed, raising concerns at the health ministry about the continuing spread of the sexually transmitted disease.
As of Oct. 28, 2037 new cases -- 1463 males and 574 females -- had been reported, according to the National Institute of Infectious Diseases.
It is the 1st time the number has reached 2000 since the Infectious Disease Control Law in 1999 required medical institutions to report syphilis cases to

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PRO/AH/EDR> Influenza (58): Iran, H1N1

Influenza H1N1 -- Iran
An outbreak of swine flu [i.e., H1N1; also see earlier ProMED report: Influenza (57): Israel, H1N1, terminology http://bit.ly/1Oj5G2f] in Iran has killed 112 people since mid-November [2015] and the country's 1st medical worker has died of the virus, media said on Mon [28 Dec 2015].
"About 1190 people have been diagnosed with the (H1N1) virus and hospitalised" and "the death toll has reached 112", state news agency IRNA quoted a health ministry official as

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PRO/AH/EDR> Anaplasmosis, babesiosis - USA: (NJ) increased incidence

Babesiosis, Anaplasmosis -- United States
A self-described athletic man, a Stillwater resident who ran 5 miles a day and could often be found working around the yard, was recently taken seriously ill by a single bite from a tick. 2 weeks after the initial bite, the 77-year-old man spiked a 104-degree fever, went into kidney and liver failure, could not recognize his family, couldn't hold a cup or dress himself, and lost the ability to walk. After spending 2.5 weeks on intravenous medication in the hospital and an additional 3 weeks in

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Monday 28 December 2015

PRO/AH/EDR> Norovirus update (03): USA (MN, CA) new strain (MN), RFI

Norovirus -- United States
Minnesota health officials announced that a new strain of norovirus has resulted in the state's 1st outbreak, which could mean more infections this winter.
The New Year could usher in a bout of vomiting, watery diarrhea, and stomach cramps for many people in the U.S., Minnesota state officials warned. A new strain of the highly contagious norovirus has emerged in the state, which could mean more infections elsewhere this winter.
The Minnesota Department of Health (MDH) reported on Tues

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PRO/AH/EDR> Kyasanur Forest disease - India (12): (GA)

Hemorrhagic Fever -- India
Kyasanur Forest Disease (KFD), or monkey fever, a viral infection which had been confined to the Pali area of Thane village panchayat in Sattari taluka [sub-district], this year, has returned to haunt the residents, this time in the Mauxi region of the Thane village panchayat [local system of government].
It has been reported that in Mauxi village, 2 people have been infected with the disease and the cases were subsequently referred to the Goa Medical College at Bambolim for further

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PRO/AH/EDR> Undiagnosed gastroenteritis - Slovenia (GO): international athletes, RFI

Norovirus -- Slovenia
3 teams were affected by a viral epidemic at the 3rd stage of the [Biathlon] World Cup in the Slovenian city of Pokljuka [in the Gorenjska statistical region]. Teams of athletes from Belarussia, Austria and Canada who were staying in the same hotel experienced serious health problems and did not take part in the competition.
On the eve of the Belarusian biathlon, one competitor was hospitalized in Ljubljana, and later another was hospitalized with gastrointestional symptoms. Minor ailments

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PRO/AH/EDR> Anthrax - Zimbabwe (04): (MS) human, bovine, vaccine mobilization

Anthrax -- Zimbabwe
The Ministry of Agriculture, Mechanisation and Irrigation Development has mobilised 16 000 doses of anthrax vaccines for livestock in Filabusi area in the Umzingwane District of Matabeleland South. This followed an anthrax outbreak in Filabusi, which left 45 cattle dead and 53 people hospitalised after eating meat from infected carcasses.
The Director of Veterinary Services (DVS), Dr Josphat Nyika, yesterday said there have not been any further infections reported on livestock or human

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Sunday 27 December 2015

PRO/AH/EDR> MERS-CoV (165): Saudi Arabia (MK) Jeddah

MERS -- Saudi Arabia
Since 2012 (to date 27 Dec 2015), there have been a total of:
1278 cases of laboratory-confirmed MERS-CoV, including
1 asymptomatic,
551 deaths (43 per cent),
728 recoveries (56.7 per cent), and
3 currently active cases (0.3 per cent).
On 17 Dec 2015, there were reported a total of:
1 newly confirmed symptomatic case,
0 newly reported deaths,
0 newly reported recoveries.
Information on newly reported case:
27 Dec 2015 - Jeddah; 54-year-old male, expat, stable condition,

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PRO/AH/EDR> Influenza (57): Israel, H1N1, terminology

Influenza H1N1 -- Israel
The Health Ministry has called on everyone over the age of 6 -- especially pregnant women and people of all ages with chronic diseases such as heart problems, diabetes or Down syndrome -- to get a flu shot, following the death of a 54 year old woman from H1N1 (swine) flu at the Rabin Medical Center-Beilinson Campus in Petah Tikva on Thu [24 Dec 2015].
The woman, who was first hospitalized a month ago at Soroka-University Medical Center in Beersheba, was transferred to Beilinson to undergo

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PRO/AH/EDR> Lassa Fever - Nigeria (10): (KN)

Lassa Fever -- Nigeria
Two people have been confirmed dead after testing positive to Lassa fever at Aminu Kano Teaching Hospital [AKTH] in Kano. An unconfirmed source told The Guardian that the victims - a father and his son -- were brought to the hospital from a nearby village but died of the disease a day later.
Assistant director, public affairs at Aminu Kano Teaching Hospital, Mallam Aminu Inuwa, who confirmed the development however declined to reveal further details on the victims. Aminu hinted that, "the

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Saturday 26 December 2015

PRO/AH/EDR> Avian influenza, human (136): China (GD) H7N9

Avian Influenza H7N9 -- China
The Centre for Health Protection (CHP) of the Department of Health (DH) is today [26 Dec 2015] closely monitoring a human fatal case of avian influenza A(H7N9) affecting a man aged 61 in Dongguan, Guangdong Province, and again urged the public to maintain strict personal, food, and environmental hygiene both locally and during travel.
According to the Health and Family Planning Commission of Guangdong Province, the man with underlying illnesses was admitted to a local hospital on [22 Dec

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PRO/AH/EDR> Hantavirus update - Americas (44): Bolivia (SC)

Hantavirus -- Bolivia
The Departmental Health Services (SEDES) of Santa Cruz yesterday morning [23 Dec 2015] confirmed the deaths of 2 people due to [a] hantavirus [infection], one reported in the San Julian municipality and the other in the Minero population. The SEDES director, Joaquin Monasterio, reported the cases in Santa Cruz department, indicating that the fatal disease has not occurred since 2013, so the affected area is declared under a health alert.
During the current year [2015], 10 cases have been

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PRO/AH> Equine herpesvirus, equine - North America (22): USA (PA)

Equine Herpes Virus -- United States
A Doylestown Township [Bucks County] farm was placed under quarantine [Wed 23 Dec 2015] following the death of 3 horses, according to the Pennsylvania Department of Agriculture. "They had developed severe neurological signs and reached a point where euthanasia was the only recourse," said Craig Shultz, the agency's director of the Bureau of Animal Health and Diagnostic Services.
The horses from Mile View Farm on Ferry Road were euthanized after contracting an aggressive neurological form of

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PRO/EDR> Meningitis, meningococcal - Kyrgyzstan: (GB) RFI

Meningitis - Neisseria -- Kyrgyzstan
In Kyrgyzstan, there is an increasing number of patients with meningitis. Doctors fear outbreaks of disease. More than 20 people have died from the infection within a few months. More than 300 cases of infection have been recorded in the country since the beginning of the year [2015] in total.
The main cause of meningitis is meningococcal disease. Without preventive measures, outbreaks occur once every 10 years. The last time it was recorded in Kyrgyzstan was 2006. There were deaths.

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PRO/AH/EDR> Avian influenza (133): France, HPAI (H5N1/H5N2/H5N9) LPAI (H5N2/H5N3) assessment

Avian Influenza -- France
1. Disease report
Since the last update on 16 Dec 2015, more outbreaks in poultry have been reported as a result of increased surveillance in south west France (for the official map, updated 23 Dec 2015, see the source URL; not all outbreaks visible at this scale). To date, there are 61 outbreaks of HPAI H5 (N1, N2 and N9), 54 of which have been reported to the EU Animal Disease Notification System. Six regions are affected: Dordogne (12 outbreaks); Landes (27 outbreaks); Haute Vienne (1);

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Friday 25 December 2015

PRO/PL> Grapevine leafroll - Australia: vector

Other Plant Disease -- Australia


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PRO> Early warning system - South Sudan: WHO EWARS

Not Yet Classified -- South Sudan
The project supports Ministries of Health and health partners through the provision of technical guidance, training and field-based tools. This includes a standardized EWARS application that can be rapidly configured and deployed within 48 hours of an emergency being declared. "It is designed with frontline users in mind, and built to work in difficult and remote operating environments," said Haskew.
Direct field support is provided in the form of "EWARS in a box", which is a kit of

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Thursday 24 December 2015

PRO/AH/EDR> Rabies - USA (50): (AZ) feline, human exposure: NOT

Rabies -- United States
On Thur 17 Dec 2015, the Yavapai County Sheriff's Office (YCSO) issued a report that a cat hit by a car in the 3200 block of Date Creek had rabies and was the 1st case of a rabid domestic cat since the 1950s in Yavapai County.
A secondary test by the Centers for Disease Control and Prevention (CDC) indicated the cat was not rabid and the original test was a false positive, according to a press release Tuesday from the YCSO.
Normal CDC protocol dictates the center receive a specimen

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PRO/AH/EDR> Anthrax - Zimbabwe (03): (MS) human, bovine

Anthrax -- Zimbabwe
A Bulawayo nurse is feared to have contracted anthrax following the recent outbreak of the disease in Matabeleland South where it infected 48 people and killed 55 head of cattle. A total of 4113 head of cattle are said to be at risk of contracting the highly infectious disease. Anthrax, which can be fatal if not treated, can be transmitted through eating the meat of infected animals.
Bulawayo City Council's senior public relations officer Nesisa Mpofu yesterday said the city's emergency

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PRO/AH/EDR> Ebola update (137): WHO, Liberia, prevention, vaccine, research, funding

Ebola -- Liberia
[This is identical to the previous report dated 17 Dec 2015 (as of 13 Dec 2015) - see ProMED Ebola update (135)]
--
communicated by:
ProMED-mail

*******
[2] Liberia: "Respect their death"
Date: 20 Dec 2015
Source: Front Page Africa Online [edited]

Christiana Scotland is the wife of Dr Thomas Scotland, one of the 5 doctors who died during the outbreak of Ebola. Currently, she has 4 children -- all males -- in high school but disclosed that she is faced with the constraints of

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PRO/EDR> Legionellosis - Spain (03): (CM) large outbreak, fatal

Legionnaires' -- Spain
The Directorate General of Public Health, an agency of the Ministry of Health, yesterday confirmed 6 new cases in the [legionellosis] outbreak, which was detected in the town last Friday [18 Dec 2015] and has already affected 26 people.
Speaking to The Tribune, the director general of public health, Manuel Tordera, said that the department has been working since then to find the source of the outbreak, and so for that purpose the emergency protocol was activated and samples were collected

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PRO/PL> Undiagnosed disease, millet - Haiti: (OU)

Undiagnosed -- Haiti
The coordinator of the association of growers for agricultural development of the town of Petit-Goave [Ouest Department] reports that an unidentified disease is ravaging the plantations of millet.
The coordinator launched an SOS to the Ministry of Agriculture and Natural Resources to send a team of technicians to determine the causes of this disease that is spreading and take the necessary phytosanitary measures against this new scourge.
[byline: Guyto Mathieu]
--
communicated

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Wednesday 23 December 2015

PRO/AH/EDR> Leishmaniasis, cutaneous - Israel (02): (Jerusalem) wildlife reservoir

Leishmaniasis -- Israel
Jerusalem and state agencies are launching a program to curb the increasing numbers of rock hyraxes living in northern and eastern neighborhoods in the capital. Recent research has shown the extent of the encroachment of the rabbit-like mammals in residential areas of the city and has linked it to a rise in the incidence of the parasitic disease leishmaniasis in those areas.
The city is considering building a fence around Neveh Yaakov, at a cost of over 3 million shekels [around USD 707

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PRO/EDR> Zika virus - Americas, Atlantic Ocean

Zika virus -- Honduras
Brazil has reported 1761 cases of babies born with unusually small brains, or microcephaly, the World Health Organization (WHO) said on [Tue 15 Dec 2015], as a mosquitoborne disease linked to the condition spread across Latin America.
Brazilian health authorities said last month there was a link between the mosquitoborne Zika virus and a surge in babies born with microcephaly, which can cause developmental and intellectual difficulties and limit intelligence and muscle coordination for

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PRO/PL> Murda disease, chili - India: (MH,MP)

Other Plant Disease -- India
The chili crop in Nagpur and Amravati [districts of Maharashtra] is reported to have been hit by a virus. The infection may bring the yield down by almost 50 per cent. Even growers in Madhya Pradesh have been hit, where the crisis is reported to be worse [and] the crop expected to be down to 30 per cent.
The state's agriculture department said there had been an attack of the churda-murda virus. Around 50 000 hectares [about 124 000 acres] area in Nagpur are under chili cultivation [and]

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PRO/AH/EDR> MERS-CoV (164): South Korea, fomite contamination

MERS -- South Korea
A small study in South Korea has determined that most touchable surfaces in MERS treatment units were contaminated by patients and healthcare workers, and that viable virus was shed through respiratory secretions even after patients recovered.
Writing in Clinical Infectious Diseases yesterday [17 Dec 2015], Korean investigators detailed findings on 4 MERS-CoV (Middle East respiratory syndrome coronavirus) patients in the South Korean outbreak earlier this year [2015].
They found that

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PRO/AH/EDR> Avian influenza, human (135): Algeria (TB) comment, RFI

Avian Influenza -- Algeria
The Minister of Health, Population and Hospital Reform, Abdelmalek Boudiaf, sent an inquiry committee to Cheria [district] public health institution in Tebessa to investigate the outbreak that has emerged in this province.
This came after the Pasteur Institute confirmed that the deaths of 4 people in Tebessa province on [Wed 16 Dec 2015] and [Thu 17 Dec 2015] were not due to seasonal influenza virus as it was reported by the institute earlier. Therefore, Boudiaf changed his position and

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PRO/PL> Rice hoja blanca virus - Ecuador: (GY, LR)

Other Plant Disease -- Ecuador
Rice crops are threatened by an attack of "sogata" disease, a virus that reduces production up to 50 per cent. Heitel Lozano, National Corporation of Rice Farmers (Corpoarroz), raised the alarm: plants are affected in the provinces of Guayas and Los Rios.
During the rainy season, growers use varieties that are the most susceptible to the attack of this disease. "There are some (varieties) which are resistant, but Iniap 14 and 15, which are the most widely sown, are moderately resistant;

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PRO/AH/EDR> Avian influenza, human (134): Egypt (PS) susp

Avian Influenza -- Egypt
A medical source in Port Said Health Department said that 31 people are being treated in Fever Hospital because they are suspected of having avian influenza. The source added that the suspected cases are all from Sahl El-Tina villages. They are waiting for the results of the analysis to prove whether it is avian influenza or severe cold.
Earlier, the undersecretary of the Ministry of Health in Port Said requested that citizens go to the closest hospital if they have symptoms similar to

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Tuesday 22 December 2015

PRO/AH/EDR> Anthrax - Canada (11): (SK) bovine

Anthrax -- Canada
The Saskatchewan [province] government is reporting more cases of anthrax in livestock.
Agriculture officials say the deadly bacterium was confirmed in a cow this week on a farm in the rural municipality of Harris south west of Saskatoon. Anthrax is suspected in the deaths of 2 other cattle from the same herd.
In July [2015] anthrax killed 2 bison near North Battleford and another cow in the RM [rural municipality] of Harris.
Livestock are infected when they eat forage contaminated

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PRO/EDR> Dengue/DHF update (38): Americas, Asia, Africa

Dengue -- Sudan
Cases by Country / Week updated / Probable / Conf. / Virus type / DHF severe / Deaths
North America
United States / 46 [week ending (w/e) 20 Nov 2015] / 471 / 451 / D? / 0 / 0
Central America and Mexico
Costa Rica / 46 [w/e 20 Nov 2015] / 11 674 / 0 / D 1,2,3 / 6 / 0
El Salvador / 46 [w/e 20 Nov 2015] / 46 059 / 9490 / D? / 343 / 5
Guatemala / 46 [w/e 20 Nov 2015] / 15 768 / 1228 / D 1,2,3,4 / 35 / 9
Honduras / 46 [w/e 20 Nov 2015] / 41 730 / 0 / D? / 958 / 3
Mexico / 46 [w/e 20

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PRO/EDR> Influenza (56): Pakistan, China (SH), USA, H1N1

Influenza H1N1 -- Pakistan
Influenza A virus H1N1 has developed a new power. The latest surveillance from Shanghai Center for Disease Control & Prevention found that Shanghai has already entered the peak winter-spring season for influenza. From the end of November [2015], Shanghai influenza virus has changed from influenza A3 virus to A(H1N1). ...
Surveillance shows that A(H1N1) influenza has gradually become the predominant strain circulating [in Shanghai] in December [2015].
--
communicated

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FERG: Global estimates must drive country action

Figures from the global burden of foodborne disease should be used as the basis for country-specific studies to support policy and prioritise risk management, according to people behind the work.



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Food safety message highlighted as Xmas approaches

Food safety agencies go into overdrive at this time of year. We have pulled together a few of the announcements to find the key messages.



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Monday 21 December 2015

PRO/AH/EDR> Yellow fever - Americas (13): Peru, sylvan, RFI

Yellow Fever -- Peru
Sylvan yellow fever cases by department / health region:
Cusco / Cusco 1
Huanuco / Huanuco 1
Junin / Junin 5
Loreto / Loreto 6
Madre de Dios / Madre de Dios 1
Pasco / Pasco 2
San Martin / San Martin 5
Total: 21 cases with 4 deaths
--
communicated by:
ProMED-mail

[The number of reported yellow fever (YF) cases has increased from 14 on 29 Sep 2015, to 21 on 30 Oct 2015, and not increased since then. These YF virus infections were reported as sylvan transmission cycle occurrences

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PRO/AH> Gyrodactylus salaris - Sweden (02): (HA) salmon, OIE

Other Animal Disease -- Sweden
Information received on [and dated] 18 Dec 2015 from Dr Ingrid Eilertz, chief veterinary officer, director and head, Swedish Board of Agriculture Department for Animal Welfare and Health, Ministry for Rural Affairs, Jonkoping, Sweden
Summary
Report type: immediate notification (final report)
Date of start of the event: 23 Oct 2015
Date of confirmation of the event: 2 Dec 2015
Date event resolved: 23 Oct 2015
Reason for notification: reoccurrence of a listed disease
Date of previous

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Foodborne disease estimates ‘instrumental’ - WHO

Results of the first ever estimates of the global burden of foodborne disease revealed earlier this month could be ‘instrumental in changing the field’, according to experts.



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From Salmonella in cucumbers to Listeria in cheese: The 2015 outbreak files

As an end of year article we have looked through our archives to bring you the top-scoring articles related to foodborne outbreaks.



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Sunday 20 December 2015

PRO/AH/EDR> Ebola update (136): WHO, case definition, epidemiology, prevention, vaccination

Ebola -- Worldwide/Unknown
17 Dec 2015 Liberia: Female survivor may be cause of Ebola flare-up in Liberia
[According to experts investigating the case, an outbreak of Ebola virus disease (EVD) in Liberia months after the country was declared free of the virus could have stemmed from a survivor ("OG"), the mother of "NG," the index case of the latest Liberian outbreak (November 2015). "OG" (who is still alive) may have become infectious again after her immune system was weakened by pregnancy. A main hypothesis for

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PRO/AH/EDR> Anthrax - Zimbabwe (02): (MS) human, bovine

Anthrax -- Zimbabwe
An anthrax outbreak has been reported in Umzingwane District in Matabeleland South Province with 36 people getting infected and at least 42 head of cattle dying, amid fears that contaminated meat could have been sold to butcheries in Bulawayo. The disease, which can be fatal if not treated, can be transmitted through eating the meat of infected animals. Matabeleland South provincial principal veterinary officer Dr Enat Mdlongwa said the disease was detected last week at Mzola and Mahanka dip

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PRO/AH/EDR> Avian influenza, human (133): WHO assessment human-animal interface

Avian Influenza -- Worldwide/Unknown
Human infection with avian influenza A(H5) viruses
--------------------------------------------------
Since the last WHO Influenza update on 13 Nov 2015, no new laboratory-confirmed human cases of avian influenza A(H5N1) virus infection have been reported to WHO.
From 2003 through 14 Dec 2015, 844 laboratory-confirmed human cases of avian influenza A(H5N1) virus infection have been officially reported to WHO from 16 countries. Of these cases, 449 have died. Influenza A(H5) viruses of

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PRO/EDR> Chikungunya (37): Americas, Asia

Chikungunya -- Nicaragua
Cases by Country / Week / Local Susp. / Local Conf. / Imported Conf. / Deaths
North America
Mexico / week 50 [week ending 18 Dec 2015] / 0 / 11 199 / 20 / 0
USA / week 50 [week ending 18 Dec 2015] / 0 / 0 / 653 / 0
Central America (no recent reports)
---
Latin Caribbean
---
French Guiana / week 50 [week ending 18 Dec 2015] / 6960 / 1759 / 0 / 2
Non-Latin Caribbean
---
US Virgin Islands / week 49 [week ending 11 Dec 2015] / 94 / 24 / 0 / 0
Andean Area
---
Colombia /

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Saturday 19 December 2015

PRO/AH/EDR> Contact toxicant - France: (Paris) synagogue, RFI

Poisoning -- France
A total of 14 Parisian worshippers were poisoned on [Mon 14 Dec 2015] after their synagogue's electronic lock was daubed with poison.
Members of the Jewish community of Bonneuil-sur-Marne, in the southeastern suburbs of Paris, called emergency services to report a sudden strong burning sensation in their eyes and itchy rashes on their skin.
It is believed 25 firemen rushed to the synagogue, where they treated congregants and traced their condition to the daubed lock.
The substance was

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PRO/AH/EDR> Antibiotic resistance: colistin, MCR-1, multi-continent spread, human, animal

Antibiotic resistance -- Worldwide/Unknown
Three of the Lancet studies briefly describe new tests on bacterial collections. In one of them, a consortium from the Netherlands looked at bacteria in fecal samples from 2002 Dutch people before and after they traveled between November 2012 and November 2013. 6 isolates had the MCR-1 gene in _Escherichia coli_ [1].
Two of the travelers who weren't related to each other had been to Peru and Bolivia, 2 other unrelated people took trips to China, one went to Tunisia, and one had visited

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PRO/AH/EDR> Avian influenza (132): France, HPAI (H5N1/H5N2/H5N9) LPAI (H5N2/H5N3) assessment

Avian Influenza H5N1 -- France
1. Disease report
Since the last update [of 7 Dec 2015], several new outbreaks in poultry have now been reported as a result of increased surveillance in South West France [Ministry of Agriculture], France, 2015; see map at the source URL above]; not all outbreaks visible at this scale]. To date [16 Dec 2015] there are 15 outbreaks of HPAI H5 (N1, N2, and N9) and 7 outbreaks of LPAI H5 (N2 and N3) which have been reported to the EU Animal Disease Notification System and in addition there may

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PRO/AH/EDR> MERS-CoV (162): Saudi Arabia, animal reservoir, camel, research, vaccine

MERS -- Saudi Arabia
Middle East respiratory syndrome coronavirus (MERS-CoV) infections cause an ongoing outbreak in humans fueled by multiple zoonotic MERS-CoV introductions from dromedary camels. Besides implementing hygiene measures to limit further camel-to-human and human-to-human transmissions, vaccine-mediated reduction of MERS-CoV spread from the animal reservoir may be envisaged. Here, we show that a modified vaccinia virus Ankara (MVA) virus vaccine expressing the MERS-CoV spike protein confers mucosal

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PRO/AH/EDR> Leishmaniasis, cutaneous - Sri Lanka: RFI

Leishmaniasis -- Sri Lanka
Health officials have played down fears of a chronic skin disease spreading nationwide. However, they have urged the public to seek medical treatment for longstanding insect bites noting the serious nature of the disease.
Last week, several media reported that the tropical skin disease, leishmaniasis, which had been present only in certain areas of the country, was now spreading.
While there is a spike in the numbers of reported cases of leishmaniasis, it does not necessarily mean the

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PRO/AH/EDR> Listeriosis - Germany: (southern states) fatal, unique cluster type, 2012-2015

Listeriosis -- Germany
[Authors: Ruppitsch W, Prager R, Halbedel S, Hyden P, Pietzka A, Huhulescu S, Lohr D, Schoenberger K, Aichinger E, Hauri A, Stark K, Vygen S, Tietze E, Allerberger F, Wilking H]
Summary
------------
Listeriosis patient isolates in Germany have shown a new identical pulsed-field gel electrophoresis (PFGE) pattern since 2012 (n = 66). Almost all isolates (_Listeria monocytogenes_ serotype 1/2a) belonged to cases living in southern Germany, indicating an outbreak with a so far unknown

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PRO/EDR> Avian influenza, human (132): Algeria (TB) H5N1, susp, RFI

Avian Influenza H5N1 -- Algeria
El Khabar was informed from a well-informed source that the laboratory analysis for a sample from a 40-year-old male who died in Sharia, Tebessa [province] was positive for avian influenza. This is the 4th death due to severe pneumonia in Sharia, Tebessa.
The source indicated that the 3 people died after being transferred to Constantine Hospital and they had the same symptoms including severe cough and dyspnea. The analysis of samples was done by the Pasteur Institute. The doctors in the

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PRO/AH/EDR> Avian influenza, human (131): China (GD,ZJ) H7N9, WHO

Avian Influenza H7N9 -- China
On 11 Dec 2015, the National Health and Family Planning Commission (NHFPC) of China notified WHO of 2 additional laboratory-confirmed cases of human infection with avian influenza A (H7N9) virus.
Details of the cases
--------------------
The 1st case is a 74-year-old male from Meizhou City, Guangdong Province, with onset date of 19 Nov [2015]. He purchased poultry from a market and raised poultry at home. At the time of report, the case was in severe condition.
The 2nd case is a

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PRO/AH/EDR> Undiagnosed hemorrhagic illness - China (03): (SA) RFI

Hemorrhagic Fever -- China
The 2015 Yanta District [in Xian, capital of Shaanxi province] Health & Family Planning Bureau Infectious Hemorrhagic Fever Prevention and Control Work meeting was held recently. A total of 148 healthcare institutions including general hospitals, outpatient departments, neighborhood health stations, clinics, and school health offices attended the meeting.
The meeting deployed infectious hemorrhagic fever prevention and control work in Yanta District, raising the level of diagnosis and

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/1TWfDCL

Friday 18 December 2015

PRO/AH/EDR> Rabies - USA (49): (NJ) ex Egypt, canine, human exposure

Rabies -- Egypt
Concerns a dog rescued from the streets of Cairo had rabies forced 4 dogs in New Jersey into quarantine for 6 months, according to the CDC. The Cairo dog was one of 8 dogs and 27 cats brought to the United States in May [2015] and given to animal rescue groups in 4 states.
It was shipped with falsified papers and discovered to have had an unhealed fracture of the left forelimb in Virginia, according to the CDC. Because of possible rabies, the dog was euthanized and later was confirmed by

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PRO/AH/EDR> Hantavirus update - Europe (02): France

Hantavirus -- France
We report an infection with Tula virus in June 2015, leading to hospitalisation, in a patient living approximately 60 km [about 37 miles] east of Paris with no previous remarkable medical history. Clinical symptoms were limited to a fever syndrome with severe headache. The main laboratory findings included thrombocytopenia and elevated transaminase levels. Based on S (small) gene sequence analysis, the strain affecting the patient was closely related to strains detected in Central Europe,

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PRO/AH/EDR> Rabies - USA (48): (AZ) feline, human exposure

Rabies -- United States
A cat hit by a car in the 3200 block of Date Creek on [3 Dec 2015] had rabies, the 1st case of a rabid domestic cat since the 1950s in Yavapai County [Arizona], a sheriff's spokesman said.
The cat bit a person who tried to help it after the accident. The man was treated and released at the hospital, Dwight D'Evelyn said. The cat died and an animal control officer took it for rabies testing. On [11 Dec 2015] the results came back positive. Officials informed the bite victim, who received

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PRO/AH/EDR> Undiagnosed hemorrhagic illness - Bolivia: (TR) RFI

Undiagnosed -- Bolivia
The Director of Departmental Health Services (SEDES), Paul Castellanos, on Wednesday [16 Dec 2015] said that the hospital in Yacuiba [Tarija department] is closed for 3 days due to a suspected, possible contagious disease brought in by a person who died in this facility.
"We have information that a person died with symptoms of an infectious and contagious disease, so that we had to act quickly to avoid more spread. We are carrying out isolation measures necessary to avoid dissemination and

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PRO/AH/EDR> Foot & mouth disease - Turkey (06): st A Asia, genotype VII, spread, OIE, RFI

Foot and Mouth -- Turkey
Information received on 17 Dec 2015 from Prof. Dr Irfan Erol, Director General of Food and Control, Directorate of Food and Control, Ministry of Food, Agriculture and Livestock, Ankara, Turkey
Summary
Report type: Follow-up report No. 3 (Final report)
Date of start of the event: 29 Sep 2015
Date of confirmation of the event: 5 Oct 2015
Report date: 17 Dec 2015
Date submitted to OIE: 17 Dec 2015
Date event resolved: 17 Dec 2015
Reason for notification: New strain of a listed

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PRO/AH/EDR> Foot & mouth disease - China (04): porcine, susp, spread

Foot and Mouth -- China
Basically each province has seen the spread of foot-and-mouth disease [FMD]. Relatively hard hit areas are Jiangsu, Shanxi, Liaoning, Heilongjiang, Henan, Jiangxi, and Guangdong [provinces]. All have had step-by-step transmission with a definite impact on local pig prices.
[Byline: Huang Zhifeng]
--
Communicated by:
ProMED-mail Rapporteur Dan Silver
[Earlier this month (December 2015), the same economical media source named 3 provinces with reported FMD in pigs, namely Jiangsu, Hebei,

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PRO/AH/EDR> Leishmaniasis, visceral - Uganda: (Karamoja)

Leishmaniasis -- Uganda
Dr Thomson Lakwo, an assistant commissioner, at the national Entomologist for Onchocerciasis Control programme, NTD programme, Ministry of Health, says there are no confirmed statistics yet about the burden of disease in Uganda, but that the disease has been endemic to Amudat district and increasingly people from other districts such as Kotido, Moroto, Abim, Kaabon, Napak, Nakapiripirit [all in Karamoja sub-region], Katakwi [Teso sub-region], and presently Amuria, Kaberamaido and Serere [Teso

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/1TUivjv

Thursday 17 December 2015

PRO/AH> Chronic wasting disease, cervid - USA (22): (MO)

Chronic Wasting Disease -- United States
The state [Missouri] wants hunters in Boone and other designated counties to have their deer tested for chronic wasting disease during opening weekend of next year's [2016] firearm hunting season.
Recommendations for mandatory testing for the disease were approved Friday [11 Dec 2015] by the Missouri Conservation Commission for counties in chronic wasting management zones.
The regulations would also prohibit feeding deer and the use of other attractants like grain, salt and mineral

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/1YoIYqK

PRO/AH/EDR> Chronic wasting disease, cervid - USA (21): (WY) research

Chronic Wasting Disease -- United States
Chronic wasting disease [CWD] will cause a Wyoming deer herd to go virtually extinct in 41 years, a 5-year study predicts. [Please see other information farther down in this article that may contradict this statement. - Mod.TG]
The investigation, which relied on the capture of 143 deer, examined the dynamics in the Southern Converse County Mule Deer Herd that lives southwest of Douglas near Laramie Peak. There, a population that once numbered some 14 000 in the early 2000s dwindled to half

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/1mqTuBQ

PRO/AH/EDR> Antibiotic resistance - Netherlands: colistin, MCR-1, salmonella, poultry meat

Salmonella -- Netherlands
The transmissible colistin-resistant gene MCR-1, recently described in China, has now been detected in the Netherlands by Central Veterinary Institute, part of Wageningen UR (CVI). In an initial screening of a large collection of salmonellas (N = 3274) from the National Institute for Public Health and the Environment (RIVM) and the Netherlands Food and Consumer Product Safety Authority (NVWA) from 2014 and 2015 that mainly originated from sick people, livestock and food, 3 strains were found

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PRO/AH/EDR> Foot & mouth disease - Turkey (05): st A Asia, genotype VII, spread, vaccine

Foot and Mouth -- Turkey
There have been 217 cases in a new foot-and-mouth disease [FMD] outbreak since 29 Sep 2015, Faruk Celik, minister for food, agriculture and livestock said on 16 Dec 2015.
Speaking at a press conference, Celik said 117 of these outbreaks are under control while 100 others are still active.
"We don't need to panic, as we have been taking all necessary actions to keep the disease under control," Celik said, as quoted by Anadolu Agency.
These actions included producing vaccines for the

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PRO/AH/EDR> MERS-COV (161): Saudi Arabia (NJ) primary case, comment Buraidah

MERS -- Saudi Arabia
Since 2012 (to date 17 Dec 2015), there have been a total of:
1278 cases of laboratory-confirmed MERS-CoV, including 1 asymptomatic,
550 deaths (42.9 per cent),
728 recoveries (56.9 per cent), and
3 currently active cases (0.2 per cent).
On 17 Dec 2015, there were reported a total of:
1 newly confirmed symptomatic case,
0 newly reported deaths,
0 newly reported recoveries
Information on newly reported case:
1 (17 Dec 2015) - Najran; 48-year-old male, Saudi, critical condition,

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/1Qsnfix

PRO/AH/EDR> Leptospirosis - UK: (England) fatal, animal shelter volunteer

Leptospirosis -- United Kingdom
An investigation has been launched after an animal shelter volunteer contracted and died from a bacterial infection. Public Health England is investigating after a case of leptospirosis in Northamptonshire was reported to them. A volunteer from NANNA (Northamptonshire Animals In Need of Nurturing and Adoption) in Irthlingborough contracted the disease, a type of bacterial infection spread by animals, and has since died.
A statement from Public Health England (PHE) said: "Public Health

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PRO/EDR> Syphilis - New Zealand (03): (CA, AU) MSM, internet dating apps

Syphilis -- New Zealand
Cantabrians who have unprotected sex or who have multiple sex partners are being urged to get a sexual health check for Christmas. The health advice follows the release of the 2014 Institute of Environmental Science and Research Limited sexually transmitted infections surveillance report, which shows relatively high levels of syphilis in Canterbury.
According to the report the annual number of infectious syphilis cases reported by Sexual Health Clinics (SHCs) in New Zealand has increased

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PRO/EDR> Legionellosis - Spain (02): (CM)

Legionnaires' -- Spain
The Government of Castilla-La Mancha is following active protocol [after] an outbreak of Legionnaires' disease was detected this weekend in Ciudad de Manzanares. So far, 7 cases have been diagnosed; 2 have been dismissed and 5 others await results.
As reported in a press release by the regional government from the Directorate General of Public Health, cooling towers in the town as well as other facilities were determined to be at risk. These towers have slowed their activity due to the

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PRO/EDR> Chickenpox - Antigua & Barbuda: prison inmates

Chicken Pox -- Antigua & Barbuda
Prison sources are still complaining that, despite the alleged outbreak of chicken pox at Her Majesty's Prison (HMP), not much has been done to ensure that the virus does not affect more people who either work there or are in custody. A source said since Observer media reported on the incident, last Thu 10 Dec 2015 that there has been another suspected case, bringing the number of affected persons to 19.
The source explained that this occurred even while the other 18 infected persons were

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PRO/EDR> Pertussis - New Zealand

Whooping Cough -- New Zealand
A new report discusses how rates of whooping cough can be reduced by immunizing women during pregnancy and improving education about the illness. The report Mortality and morbidity of pertussis in children and young people in New Zealand: Special Report 2002-2014, was released today by the Child and Youth Mortality Review Committee (CYMRC). It shows rates of whooping cough (also known as pertussis) in New Zealand using data from 2002-2014, for children and young people under the age of

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PRO/EDR> Leprosy - India: (KA)

Leprosy -- India
Leprosy funding [is] being cut despite 1841 cases [in 2015]. Cuts in funding for leprosy care could result in more cases, according to health workers. Funding for support surveys that identify leprosy patients, record growth of the disease and administer medicines, is not available any more, they say. Sister Christina, who works in Sumanahalli Leprosy Colony, said, "Due to lack of surveys, we are now getting more multibacillary (MB) cases, which have more than 5 patches on the skin. The

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PRO/AH/EDR> Ebola update (135): UN, WHO, susp., prevention, post-Ebola synd., recovery

Ebola -- Worldwide/Unknown
16 Dec 2015 USA: New symptoms surface in Ebola patients months after initial recovery
[Survivors of infection by Ebola virus, already known to face vision, hearing and other problems during their recovery, may also be plagued with health issues such as depression, anxiety and nerve damage that surface after they leave the hospital, according to a small spot survey of 9 victims whose care was managed in the USA. Some of the signs and symptoms can persist for months, researchers from the

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PRO/AH/EDR> Chronic wasting disease, cervid - USA (20) (WY)

Chronic Wasting Disease -- United States
The Wyoming Game and Fish Department confirmed chronic wasting disease (CWD) in a cow elk that was observed to be in poor health near Elk Mountain and was lethally removed. CWD is a fatal neurological disease of deer, elk and moose. The elk was found in elk hunt area 11, which is flanked by [other] elk hunt areas and overlaps with a deer hunt area where CWD had already been documented.

The elk was reported to Game and Fish on 4 Dec 2015 near Bear Creek, 5 miles southeast of the town of Elk

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PRO/AH/EDR> Avian influenza, human (130): China (AH, HN) H9N2

Avian Influenza -- China
Mainland China Anhui and Hunan recently added 4 cases of confirmed H9N2 flu: aged 1 to 15 years; 3 female, 1 male; date of onset between year 4 to 10 months; are mild; 1 case joined the family name to the market to buy food; no live poultry; remaining exposure history or exposure history is unknown.
Since 2013 the Chinese mainland and Hong Kong cumulative total of H9N2 flu cases is 6, including Hunan (4), Anhui (1) and Hong Kong (1 patient) (Guangdong Province moved). Currently tourism

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Wednesday 16 December 2015

PRO/AH/EDR> Avian influenza (131): France (LD, PA) poultry LPAI H5N3, OIE

Avian Influenza -- France
Information received on [and dated] 15 Dec 2015 from Dr Loic Evain, [Deputy Director General of the Directorate of Food, CVO, Ministry of Agriculture, Agrifood, and Forestry] Paris, France
Summary
Report type: immediate notification
Date of start of the event: 6 Dec 2015
Date of confirmation of the event: 10 Dec 2015
Reason for notification: New strain of a listed disease
Manifestation of disease: sub-clinical infection
Causal agent: Low pathogenic avian influenza virus
Serotype:

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PRO/PL> Bacterial leaf blight, rice - India: (TN)

Other Plant Disease -- India
The continuous rain has posed a threat to the standing paddy crop in [Tiruchi] district. Paddy raised on several hectares has been affected by bacterial leaf blight disease. The leaves appear to have changed into yellow and white.
R. Chandrasekeran, Joint Director of Agriculture, said that field officials had been asked to create awareness of the disease among farmers. The prevailing climate conditions were favourable to bacterial leaf blight. Change of colour was a symptom of the disease.

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/1YiRYD7

PRO/EDR> Poliomyelitis update (10): Pakistan

Polio -- Pakistan
Two cases of circulating vaccine-derived poliovirus were confirmed in Myanmar this week. The Ministry of Health is implementing an urgent outbreak response with the support of the partners of GPEI.
Around the world, thousands of polio workers have selflessly dedicated their lives to stopping polio in their communities. Five people have been honoured with Heroes of Polio Eradication (HOPE) Awards, presented by Bill Gates and His Highness Sheikh Mohamed bin Zayed Al Nahyan, Crown Prince of

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/1O995Cn

PRO/AH/EDR> MERS-CoV (160): Saudi Arabia (RI)

MERS -- Saudi Arabia
Since 2012 (to date 16 Dec 2015), there have been a total of:
1278 cases of laboratory-confirmed MERS-CoV, including:
1 asymptomatic,
550 deaths (42.8 per cent),
728 recoveries (57.0 per cent), and
2 currently active cases (0.2 per cent).
On 16 Dec 2015, there were reported a total of:
1 newly confirmed symptomatic case,
0 newly reported deaths,
0 newly reported recoveries.
Information on newly reported case:
1 - (16 Dec 2015) - Buraidah; 41-year-old female, Expat, stable

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PRO/AH/EDR> Anthrax - Slovenia (03): (SN) bovine

Anthrax -- Slovenia
Anthrax in the area of Smihel under Nanos last week killed a cow, and [authorities] are constantly on the lookout for new signs of infection. It appears that the bacterium did not contaminate other animals, but long-term safeguards will be implemented in the territory.
The Administration Office for Food Safety, Veterinary and Plant Protection have denied rumors of more infected animals. "According to the information received, there are no new cases of anthrax disease. The farm was the site

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PRO/EDR> Chickenpox - USA: (MI,TX) unimmunized children

Chicken Pox -- United States
Objective: Varicella has been preventable by vaccination in the United States since 1995. Previous studies reported a 66 percent decline in mortality rate during the 1st 6 years of the program. Since then, vaccination coverage has increased substantially. We updated the analysis of US varicella mortality for 2002-2007 and assessed the impact of the 1st 12 years of the US varicella vaccination program on varicella deaths.
Methods: National data on deaths for which varicella was listed as an

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/1I9g63L

Tuesday 15 December 2015

PRO/EDR> Human pegivirus 2: description

Other Human Disease -- United States
A team led by investigators at the University of California, San Francisco-Abbott Viral Diagnostics and Discovery Center has identified a new humans pegivirus in a subset of individuals infected with hepatitis C virus (HCV). As they reported in PLOS Pathogens, the researchers did metagenomic sequencing on blood samples from more than 150 individuals with chronic liver disease, identifying a handful of reads corresponding to human pegivirus 2, or HPgV-2, in an individual who had been infected

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/1Nw75yx

PRO/PL> Undiagnosed disease, legume crops - Tanzania: (KR)

Undiagnosed -- Tanzania
Farmers in Kagera Region are reporting the emergence of a never seen before disease that is attacking leguminous plants across the lake zone. Farmers lamented that their beans are drying up just when they start flowering, causing them to die before they can multiply.
"The cause of the disease is not yet known," a farmer reported. He called upon extension officers to visit their farms and advise them on how to deal with the diseases, cautioning that they now threaten food security in the

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/1Nw75yu

PRO/AH/EDR> Tularemia - Denmark: (HS) hare, OIE

Tularemia -- Denmark
Information received on 15 Dec 2015 from Dr Per Starcke Henriksen, Chief Veterinary Officer, Danish Veterinary and Food Administration, Ministry of Food, Agriculture and Fisheries, Glostrup, Denmark
Summary
Report type: Immediate notification (Final report)
Date of start of the event: 17 Nov 2015
Date of confirmation of the event: 11 Dec 2015
Reason for notification: Reoccurrence of a listed disease
Date of previous occurrence: 23 Nov 2012
Manifestation of disease: Clinical

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/1lNTH23

PRO/AH/EDR> Glanders, equine - India: (JK) equidae, RFI

Glanders -- India
The much-feared disease glanders has been detected among horses, donkeys and mules carrying pilgrims to the holy cave shrine of Mata Vaishno Devi Ji in India, a local newspaper has reported.
Large numbers of working animals are used to ferry the pilgrims from Ban Ganga to Bhawan and back.
The Daily Excelsior, the largest daily newspaper serving the Indian state of Jammu and Kashmir, reports that the bacterial disease was 1st confirmed last February [2015] following tests on several

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/1TOxeMN

PRO/EDR> Methanol poisoning - Cambodia: (KH) rice wine, fatal

Poisoning -- Cambodia
At least 19 people died and 172 others fell ill in the eastern province of Kratie, Cambodia, after drinking rice wine brewed with "high levels of methanol" confirmed the Cambodian Ministry of Health on Sun 13 Dec 2015.
"According to latest figures, 19 people died and 172 others felt ill after drinking tainted rice wine in 5 separate incidents since 19 Nov 2015," Ly Sovann, a spokesman for the ministry told Xinhua.
"Laboratory tests have shown that the deaths were caused by high levels of

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/1YhWTii

Monday 14 December 2015

PRO/PL> Undiagnosed disease, rice - Nigeria: (KT)

Undiagnosed -- Nigeria
Rice farmers in Katsina State experienced a strange disease which dried their crops before they mature. A farmer said: "Only a few of us noticed the attack at its early stage; many only realised the damage at the point of harvest. The pests are in a form of small worms that are sucking the seedlings dry." Efforts of applying different types of pesticides failed to arrest the disease.
A retired agricultural extension worker dismissed the assertion that the disease is a worm attack. He said:

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/1I5OY5S

PRO/ALL> Announcements (07): ProMED-mail anniversary award 2015

Not Yet Classified -- Uganda


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PRO/AH/EDR> Foot & mouth disease - China (03): porcine, susp.

Foot and Mouth -- China
At the moment, the overall disease situation is trending stable, and no widespread outbreaks have occurred. With the onset of winter and cold weather and serious air pollution in northern regions, there are rather more [outbreaks] of FMD, respiratory illness, and diarrhoea among pig herds.
--
Communicated by:
ProMED-mail Rapporteur Dan Silver
[In case the mentioned outbreaks in domestic pigs are caused by the endemically circulating virus strain, these outbreaks are expected to appear in

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/1I5mNUq

PRO/PL> Septoria blotch, wheat - Europe (02): (Ireland) new strains, SDHI resistance

Other Plant Disease -- Ireland
Strains of the yield-robbing wheat disease septoria with target-site resistance to SDHI [succinate dehydrogenase inhibitor] fungicides have been discovered in southern Ireland [by] Irish advisory body Teagasc [Agriculture and Food Development Authority] in samples taken at the end of the 2015 season.
This is the 1st time they have been detected in the field and although at a low frequency, it is a worrying development, particularly as the efficacy of other septoria-controlling fungicides is

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/1I5mNE6

PRO/EDR> Hepatitis A - Indonesia: (JB)

Hepatitis A -- Indonesia
The Bogor Institute of Agriculture (IPB) has declared an extraordinary outbreak of hepatitis after dozens of its students were confirmed to be suffering from the liver disease.
"There are 28 students that have been confirmed with hepatitis A. However, a recent health check shows that there are more students suspected of having the disease," IPB's deputy rector for academic and students affairs, Yonny Koesmaryono, said Fri 11 Dec 2015, as quoted by tempo.co. One of the students reportedly

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PRO/AH/EDR> Undiagnosed hemorrhagic illness - China (02): (SD) RFI

Undiagnosed -- China
Shandong releases November [2015] infectious disease report: 29 people died of AIDS, etc.
Shandong Health & Family Planning Commission has released a report on the occurrence of legally-defined infectious diseases throughout the province. Province-wide, there were 10 508 cases of 17 kinds of class B infectious diseases with 29 deaths. Deaths were caused by AIDS, tuberculosis, rabies, hemorrhagic fever, hepatitis B, and measles.
The report showed that there were no reports of Class A

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PRO/AH/EDR> Anthrax - India (21): (OR) park elephant, another suspect death

Anthrax -- India
"Blood was oozing out of its mouth while its tusks were intact which made us believe that the 9-year-old jumbo might have died of anthrax", Sanjay Kumar Swain, divisional forest officer [DFO] of Baripada, said.
Blood samples of the deceased tusker were collected and sent to the Animal Disease Research Institute (ADRI), Phulanakhara to ascertain the exact cause of death, he said.
At least 9 elephants are reported to have died in Mayurbhanj district since last month [November 2015]. In

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PRO/EDR> Pneumonia - Pakistan: (PB) children, RFI

Pneumonia -- Pakistan
Pneumonia that kills over 90 000 children every year in Pakistan is taking shape of an epidemic among local population, as after setting in of winter the allied hospitals in town [Rawalpindi] have been receiving 80 to 120 child patients with pneumonia per day.
Data collected by 'The News' reveal that out of 800 to 900 child patients visiting paediatrics outpatient departments of the 3 teaching hospitals in town, nearly 500 to 550 are being reported with upper or lower respiratory tract

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PRO/AH/EDR> Undiagnosed die-off, avian - India: (OR) multiple species, RFI

Undiagnosed -- India
The mysterious death of around 25 peacocks and a large number of other bird species, including pigeons, crows, and cranes near Khurda, has sparked fears of bird flu outbreak in the State [Odisha].
The birds were found lying dead near a water body at Madhupur village forest under Khurda Forest Division on Tuesday morning [8 Dec 2015]. Panicky villagers' informed Forest officials of Khurda and Chandaka divisions, who rushed to the spot and recovered the carcasses.
Some carcasses have been

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PRO/EDR> Staph. aureus (MRSA) comm acq - USA: (NC) cosmetology students, RFI

MRSA -- United States
Gaston College is investigating how several students recently contracted staph infection. On [30 Nov 2015], the college learned of a single case of methicillin-resistant _Staphylococcus aureus_, or MRSA, involving a student in its cosmetology program at its Lincoln Campus, according to a news release from the college. The student was not allowed to return to the program until cleared by their physician.
The college learned of a 2nd case on [1 Dec 2015], also involving a student in the

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Sunday 13 December 2015

PRO/EDR> Syphilis - Australia (04): (QL) MSM, bisexual, indigenous, RFI

Syphilis -- Australia
Queensland is facing the worst syphilis outbreak in the last 30 years, warns the Townsville Aboriginal and Islander Health Service.
According to the health group, young Indigenous Australians, gay and bisexual men in Queensland, are at an increased risk of contracting syphilis. Therefore, the public health group has advised young people in north Queensland to get themselves checked for syphilis and avoid unsafe sex.
The syphilis infection rate has shown an increase in the northern

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PRO/AH/EDR> Ebola update (134) prevention, Liberia, WHO, research, vaccination, funding

Ebola -- Liberia
[There is no new WHO situation report and no new cases or deaths have been reported in West Africa since the 9 Dec sitrep and statistics with data as of 6 Dec, reported in the previous ProMED Ebola update (133)]
12 Dec 1015: WHO releases its (to be) annual list of the 9 most dire epidemic threats
[The initial list of disease priorities needing urgent research-and-development (R&D) attention include: Crimean Congo hemorrhagic fever (CCHF), Ebola virus disease (EVD) and Marburg virus

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PRO/EDR> Hepatitis A - USA (03): (NY) restaurant associated

Hepatitis A -- United States
The Seneca County Health Department held its final vaccination clinic Thursday in response to the hepatitis A cases confirmed in food service workers in November 2015. The department said it now has confirmed 5 cases of hepatitis A in Seneca County, all known to be close contacts.
The most recent publicly reported case involved an employee of the Waterloo Mark's Pizzeria restaurant. People who ate cold foods from Mark's Pizzeria between 19 and 28 Nov 2015 and close personal contacts of

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PRO/EDR> Syphilis - Germany: rising incidence, MSM, urban

Syphilis -- Germany
Germany recorded the highest number of syphilis cases in 2014 that the country has seen in the past decade. Germany had 5722 new cases of syphilis in 2014 -- an increase of 14 percent over 2013, according to a new report by the Robert Koch Institute (RKI).
The number of syphilis cases in Germany has been increasing each year since 2010, after spread of the infection started to stagnate and even slightly decline in the mid-2000s. The first half of 2015 also seemed to show a continued

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PRO/EDR> Polio - Russia ex Tajikistan: correction

Polio -- Russia


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PRO/EDR> Botulism - USA (15): (MI) foods in jars, risk, recall

Botulism -- United States
Consumers who have purchased products from an Onaway food producer are being advised to throw the items away due to concerns of botulism. The Michigan Department of Agriculture and Rural Development on Friday, 11 Dec 2015, issued a warning stating Lock Stock and Barrel Ranch products were manufactured without the required controls for the safe production of processed foods. Lock Stock and Barrel Ranch makes jams, salsa, pickled products, soup mixes and other items.
No illnesses have been

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PRO/EDR> Cholera, diarrhea & dysentery update (41): Africa, Asia

Cholera -- Tanzania
Tanzania's cholera outbreak, which began in late August 2015, has progressively spread to more than half of the country's regions, affecting thousands of people. Months into the response, local capacities and resources are overstretched; prompting the World Health Organization (WHO) to classify the outbreak an organization-wide priority, enabling it to deploy additional resources to contain the disease's spread.
As of 8 Dec 2015, 10 412 cases and 159 deaths have been reported in 21 of the

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PRO/AH/EDR> Red tide - USA (02): (MS) human, marine life

Algae -- United States
The Mississippi Department of Environmental Quality said it closed all of the beaches on the Mississippi Gulf Coast. The closure is due to an algal bloom. The precautionary measure is being taken because of the possibility of respiratory problems and irritations to the eyes, nose and throat. The algal bloom has also closed many of its oyster reefs.
--
Communicated by:
ProMED-mail from HealthMap Alerts

[It is very late in the year for this to be occurring, but the weather has been

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PRO/AH/EDR> Undiagnosed deaths - Cambodia: (SN)

Undiagnosed -- Cambodia
Cambodian health officials have been sent to a northeastern district where 10 people died and more than 100 were sickened in 2 separate incidents linked to the consumption of dog meat and rice wine, a medical officer said Friday [11 Dec 2015].
Kratie provincial health department chief Chhneang Sivutha said experts from the U.N.'s World Health Organization were also investigating the incidents, both in Snuol district. He said people in the province have been warned not to eat the meat of

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PRO/AH/EDR> Ross River virus - Australia (09): (QL)

Ross River Virus -- Australia
The number of confirmed cases of Ross River virus rose in Queensland this year [2015], and health workers are reminding the public to be aware of the risk of mosquito-borne diseases.
Dr Margaret Young, Director of Queensland Health's Wide Bay public health unit, said there had been an increase in Ross River virus notifications across the state this year [2015]. "These diseases do fluctuate from year to year. They have a seasonal pattern with most infections occurring over the summer and

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PRO/AH/EDR> St. Louis encephalitis & West Nile viruses - USA (02): (AZ)

West Nile Virus -- United States
Heather Venkat, DVM, Elisabeth Krow-Lucal, PhD1,4, Morgan Hennessey, DVM, Jefferson Jones, MD, Laura Adams, DVM, Marc Fischer, MD,Tammy Sylvester, MSN2, Craig Levy, MS, Kirk Smith, PhD, Lydia Plante, MSPH, Kenneth Komatsu, MPH, J. Erin Staples, MD, Susan Hills, MBBS. Notes from the Field: Concurrent Outbreaks of St. Louis Encephalitis Virus and West Nile Virus Disease -- Arizona, 2015.
St. Louis encephalitis virus (SLEV) and West Nile virus (WNV) are closely related mosquito-borne

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Saturday 12 December 2015

PRO/EDR> Polio - Russia ex Tajikastan

Polio -- Russia
The Polio Eradication and Endgame Strategic Plan 2013-2018 (see below) is a comprehensive, long-term strategy that addresses what is needed to deliver a polio-free world by 2018.

The plan was developed by the Global Polio Eradication Initiative (GPEI) in consultation with national health authorities, global health initiatives, scientific experts, donors and other stakeholders, in response to a directive of the World Health Assembly.

A mid-term review was conducted for the plan in

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PRO/EDR> Zika virus - Netherlands ex Suriname

Zika virus -- Netherlands


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PRO/AH/EDR> Avian influenza (130): France (PA) poultry HPAI H5N9, spread

Avian Influenza H5N1 -- France
A new region of France has now been hit with highly pathogenic avian flu, as the head of the World Organization for Animal Health (OIE) says he doesn't expect a US-type outbreak because of different farming methods and lower virus virulence, according to media reports. The OIE, meanwhile, has posted details on 3 of the country's outbreaks, as well as on another outbreak of highly pathogenic H5N6 avian flu in Vietnam.
The new outbreak in France, reported today by Reuters, occurred on a duck

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PRO/AH/EDR> Avian influenza, human (129): China, H7N9

Avian Influenza H7N9 -- China
The Health Department stated that, per an announcement from the China Ministry of Health today (11 Dec 2015), there are 6 new cases of human infection with H7N9 avian influenza. The 6 cases are from the following regions: Anhui Province, 1 case; Hunan Province, 3 cases; Guangdong Province, 1 case; Zhejiang Province, 1 case. 3 of the cases definitively had contact with live poultry, farmed poultry, or exposure at live poultry markets. Patients are between 1 and 74 years of age; 3 men and 3

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PRO/EDR> Tuberculosis, MDR: person-to-person transmission vs. treatment-acquired

Tuberculosis -- Worldwide/Unknown
Background
----------
"Multidrug-resistant (MDR) tuberculosis can be acquired through de-novo mutation during tuberculosis treatment or through transmission from other individuals with active MDR tuberculosis. Understanding the balance between these 2 mechanisms is essential when allocating resources for MDR tuberculosis. We aimed to create a dynamic transmission model of an MDR tuberculosis epidemic to estimate the contributions of treatment-related acquisition and person-to-person

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PRO/AH/EDR> Brucellosis, bovine - USA (02): (WY)

Brucellosis -- United States
Wyoming State Veterinarian Dr. Jim Logan has been notified that cultures are positive for field strain _Brucella abortus_ (brucellosis) in cows from one Sublette County cattle herd. Results were received Wednesday [9 Dec 2015] from the Wyoming State Veterinary Laboratory (WSVL) in Laramie. Logan, with concurrence of USDA-APHIS, has designated the herd from which the reactor cows originated as "brucellosis affected" as of Wed [9 Dec 2015].
Cattle from the Sublette County herd, located

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PRO/AH/EDR> Foot & mouth disease - South Africa: (LP) bovine, st. SAT 3, OIE

Foot and Mouth -- South Africa
Information received on [and dated] 11 Dec 2015 from Dr Bothle Michael Modisane, Chief Director, Department of Agriculture, Forestry and Fisheries, Animal Production and Health, Pretoria, South Africa
Summary
Report type: immediate notification
Date of start of the event: 8 Dec 2015
Date of confirmation of the event: 10 Dec 2015
Reason for notification: reoccurrence of a listed disease
Date of previous occurrence: 10 Feb 2015
Manifestation of disease: clinical disease
Causal agent:

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Friday 11 December 2015

PRO/AH/EDR> Hantavirus update - Americas (43): Chile (RM)

Hantavirus -- Chile
Health authorities confirmed the death of a young man from [a] hantavirus [infection], becoming the 1st fatal virus victim in the [Santiago] Metropolitan region this year (2015).
The deceased is a 15-year-old youth who died on the afternoon of Tue 8 Dec [2015], in the Las Condes Clinic, due to respiratory insufficiency [hantavirus cardio-pulmonary syndrome].
During the current work day [10 Dec 2015], the Public Health Institute confirmed that the death of the youth was due to a virus

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PRO/EDR> Leprosy & tuberculosis - India: (TN) case finding, management

Tuberculosis -- India
When a team of dermatologists arrived in the city [Chennai, Tamil Nadu state] from Tiruvannamalai to pitch in with relief efforts, they came equipped to attend to rain-related infections. What they didn't anticipate to see [were] people suffering from leprosy -- no more considered a public health problem. Worse, the patients were unaware they had the potentially crippling disease.
As doctors screen those hit by the flood, they are seeing a lot more than just rain-related maladies. They are

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PRO/EDR> Malaria, P. vivax - Russia: (PZ) ex India (GA)

Malaria -- India
[in Russian, trans. Mod.NP]

2 cases of _Plasmodium vivax_ malaria have been recorded in November 2015 in Penza [Oblast, region]. Both men brought the infection with them from Goa (India).
20 days after returning from India they felt ill, with chills, headache, high temperature of 38 deg C [100.4 deg F] followed by periods of normal temperature. Assuming that they had the flu they took taken antipyretics and did not seek medical care. However, after 10 days, the temperature increased

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PRO/AH/EDR> Anthrax - Africa (02): hippopotamus risk for epidemics

Anthrax -- Worldwide/Unknown
"Truly one of the most incredible sightings I have ever had on safari! A huge crocodile killed a zebra during a crossing of the Mara River during the Great Migration, and promptly had it stolen by 2 young hippos! Hippos are herbivores, but have been known to eat small amounts of meat from time to time. I am not sure exactly how much meat the hippos actually consumed, but they certainly gave the zebra a good working over. They managed to keep the zebra away from the hungry crocs for a good 45

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PRO/EDR> Zika virus - Americas (04)

Zika virus -- Brazil


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Thursday 10 December 2015

PRO/PL> Yellow mosaic, mungbeans - India: (TN)

Other Plant Disease -- India
Excessive rainfall in parts of [Tamil Nadu] has worried farmers, who are afraid of a crop loss. Crops such as black gram and green gram were vulnerable to such a situation. Hence, the farmers would face a minimum of 50 per cent crop loss.
P. Murugesan, Southern Dry Land Farmers' Association, said that 'yellow mosaic', a virus disease, had started attacking black gram and green gram. Hence, the farmers need guidance in preventing pest attack, he added.
--
Communicated

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PRO/EDR> Dengue/DHF update (37): Americas, Asia, Middle East

Dengue -- China
Cases by Country / Week updated / Probable / Conf. / Virus type / DHF severe / Deaths
North America
United States / 46 [week ending 20 Nov 2015] / 471 / 451 / D? / 0 / 0
Central America and Mexico
Costa Rica / 46 [week ending 20 Nov 2015] / 11 674 / 0 / D 1,2,3 / 6 / 0
El Salvador / 46 [week ending 20 Nov 2015] / 46 059 / 9490 / D? / 343 / 5
Guatemala / 46 [week ending 20 Nov 2015] / 15 768 / 1228 / D 1,2,3,4 / 35 / 9
Honduras / 46 [week ending 20 Nov 2015] / 41 730 / 0 / D? / 958 /

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PRO/AH/EDR> Avian influenza, human (128): China (ZJ) H7N9

Avian Influenza H7N9 -- China
Since entering autumn [2015], the normally silent avian influenza has appeared again. Cases have been appearing in Hangzhou and neighboring Shaoxing, Wenzhou, etc. [Zhejiang province]. Hangzhou Center for Disease Control notes that Hangzhou City has already entered the new season for H7N9 avian influenza.
All infected are 45 years of age and above.
This year, the avian influenza outbreak is characterized by distribution over a large, widespread area, cases are mostly [in] rural [areas]

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PRO/AH/EDR> Avian influenza (211): Taiwan (PT) poultry, HPAI H5N8, spread

Avian Influenza H5N8 -- China
Pingtung County's animal disease control officials on Thu [10 Dec 2015] culled 8881 ducks after the highly pathogenic bird flu virus H5N8 was found to have infected ducks on a poultry farm in Changzhi Township, officials said.
County officials said the farm operator kept the birds in a closed environment in violation of the law and they decided to issue a fine on the owner in accordance with the act governing the prevention of animal infectious diseases.
To reduce the risk of spreading

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PRO/EDR> Hepatitis - India: Tibetan exile community

Hepatitis -- Worldwide/Unknown
The Prime Minister of Tibetan government in exile (Sikyong) Dr. Lobsang Sangay on Mon 7 Dec 2015 expressed his concern over the rising number of hepatitis patients in the Tibetan exile community. The Harvard graduate, who swept the recent preliminary elections, was
speaking on the 1st day of the workshop on Tibetan Medicare System (TMS) at the New Reception Center in Dharamshala from 7 to 9 Dec 2015.
"In our society, the rate of hepatitis cases is 11 percent of 10 000, which is extreme. In

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PRO/EDR> Leishmaniasis - Syria (03)

Leishmaniasis -- Syria
In Syria, according to the World Health Organization, at least 160 doctors have been killed and hundreds of others have been jailed as of [2014]. Additionally, there has been an emigration of an estimated 80 000 doctors. Health officials estimate that the availability of pharmaceuticals that are locally produced has been reduced to only 10 percent of the previous stockpile -- a major shortage of necessary medications.
"Rather than providing a safe place of care and refuge, the Syrian health

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PRO/EDR> Gonococcal disease - USA (06): (MT) increasing incidence

Gonorrhea -- United States
World AIDS Day is December 1, and Montana is celebrating a few of its heroes in the fight against sexually transmitted diseases [STD]. 2 medical professionals received awards on the capital rotunda this week: Dr. Raymond Geyer of the Great Falls Clinic and Missoula's Win Lewis, PA-C, of Partnership Health.
According to Montana DPHHS [Department of Public Health & Human Services] HIV/STD Prevention Coordinator Judy Nielson, the HIV infection rate for Montana has been stable, but that isn't

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PRO/AH/EDR> Avian influenza (210): France (LD, DD) poultry HPAI H5N9, LPAI H5N2 1st rep, OIE

Avian Influenza -- France
Information received on [and dated] 9 Dec 2015 from Dr Loic Evain, [Deputy Director General of the Directorate of Food, CVO, Ministry of Agriculture, Agrifood, and Forestry] Paris, France
Summary
Report type: immediate notification
Date of start of the event: 18 Nov 2015
Date of confirmation of the event: 6 Dec 2015
Reason for notification: new strain of a listed disease
Causal agent: Highly pathogenic avian influenza virus
Serotype: H5N9
Nature of diagnosis: clinical, laboratory

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/1jQOSD8

PRO/AH/EDR> Ebola update (133): WHO, Liberia source, sexual trans, prevention, funding

Ebola -- Guinea
No confirmed cases of Ebola virus disease (EVD) were reported in the week to 6 Dec [2015].
Liberia
-------
Investigations into the origin of infection of the cluster of 3 confirmed cases of EVD reported from Liberia in the week to 22 Nov [2015] are continuing, with a working assumption that the cluster arose as a result of a rare re-emergence of persistent virus from a survivor. The 1st-reported case in that cluster was a 15-year-old boy who tested positive for EVD after admission to a

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PRO/AH/EDR> Avian influenza (209): France, poultry, HPAI H5N9 1st report in Europe

Avian Influenza H7N9 -- France
France's Ministry of Agriculture has announced 4 new outbreaks of HPAI. The surprise comes, however, in a separate announcement. that lists 3 HPAI H5 viruses; H5N1, H5N2 and now H5N9. Although several of these outbreaks are not characterized beyond being `HPAI', 2 are listed as involving H5N9.
[Byline: Michael Coston
--
Communicated by:
ProMED-mail
promed@promedmail.org
[The detection of HPAI H5N9 in poultry in France is indeed a remarkable development, complicating the situation

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Wednesday 9 December 2015

PRO/AH/EDR> Rabies - USA (47): (PA,CT) update, December 2015

Rabies -- United States
2 stray cats found in Lehigh County recently tested positive for rabies, prompting health officials to issue an alert to residents.
The Allentown Health Bureau said in a news release on Thursday that a resident who found the cats on the streets had brought them to the Lehigh County Humane Society.
"In both cases, the cat was sent for rabies testing to the Pennsylvania Department of Health Bureau of Laboratories after exhibiting aggressive behavior, including the biting and scratching of

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PRO/AH/EDR> Rabies - Canada (02): (ON)

Rabies -- Canada
At least 4 people are being treated after having direct contact with a rabid raccoon in Hamilton.
It all stems from a fight between 2 bullmastiffs and a raccoon -- which later tested positive for rabies -- inside a city animal services van.
The owner of the bullmastiffs (named Lexus and Mr. Satan) said she received a call from the Ontario Ministry of Agriculture, Food and Rural Affairs (OMAFRA) Friday notifying her that the raccoon had rabies.
2 of the people being treated at this

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PRO/AH/EDR> Vesicular stomatitis - USA (26): (CO) livestock

Vesicular Stomatitis -- United States
The clinical signs of the disease include vesicles, erosions, and sloughing of the skin on the muzzle, tongue, and teats and above the hooves of susceptible livestock.
As of 2 Dec 2015, the Colorado Department of Agriculture's (CDA) state veterinarian's office has 17 locations in 10 counties under quarantine after horses, mules, and cattle herds tested positive for vesicular stomatitis (VS).
County / Number of Currently Quarantined Premises / Number of Quarantines Released
Adams / 0 /

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PRO/AH/EDR> Chronic wasting disease, cervid - USA (19): (WY,WI)

Chronic Wasting Disease -- United States
CWD [chronic wasting disease] is a fatal neurological disease of deer, elk and moose. The elk was found in elk hunt area 34 -- an area that overlaps with deer hunt areas where CWD was previously documented and is bordered on the north by elk hunt area 35, where CWD had already been documented.
The elk was found by a landowner and reported to Game and Fish personnel on 12 Nov 2015 in Beaver Creek Canyon, which is about 15 miles west of the town of Kaycee.
"This has been another active

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PRO/EDR> Chikungunya (36): Americas

Chikungunya -- Worldwide/Unknown
Cases by Country / Week / (Local Susp. / Local Conf. / Imported Conf. / Deaths
North America
Mexico / week 47 [week ending 27 Nov 2015] / 0 / 10 760 / 20 / 0
USA / week 48 [week ending 4 Dec 2015] / 0 / 0 / 623 / 0
Central America (no recent reports)
---
Honduras / week 45 [week ending 13 Nov 2015] / 82 003 / 5 / 0 / 1
Latin Caribbean
---
French Guiana / week 47 [week ending 27 Nov 2015] / 6960 / 1759 / 0 / 2
Guadeloupe / week 46 [week ending 20 Nov 2015] / 157 / 0 / 0 /

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PRO/AH/EDR> Brucellosis - Algeria: (GR)

Brucellosis -- Algeria
During the 1st 9 months [January-September 2015], the province of Ghardaia recorded some 363 brucellosis, across various municipalities and districts. This is the current situation of these 2 diseases, while health services are working to strengthen disease preventive measures through the promotion of hygiene and disinfection procedures, in order to eliminate disease-carrying insects, mosquito hotbeds, and the extermination of vector stray animals, such as dogs and cats.
The number of

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PRO/AH/EDR> Antibiotic resistance - India: (Delhi) E. coli, MDR, river water pollution

Antibiotic resistance -- India
"River water can act as a sink of multidrug resistant strains that may have serious public health implications. The aim of the study was to assess the antibiotic susceptibility and multidrug resistance character of twenty-eight _Escherichia coli_ strains that have been isolated from water samples collected from the River Yamuna in Delhi stretch, India. The isolates were subjected to antibiotic sensitivity test by Kirby Bauer disc diffusion method as per Clinical and Laboratory Standard

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PRO/EDR> Diphtheria - Latvia (02): background

Diphtheria -- Latvia
Following a regional epidemic during the 1990's, Latvia has continued to experience a high incidence of diphtheria (1). This phenomenon is difficult to explain on the basis of poor vaccine uptake. The following graph compares WHO estimates of vaccination (DPT3) coverage with diphtheria rates reported in Estonia, Latvia, and Lithuania (2, 3).
References
----------
1. Berger SA: Infectious Diseases of Latvia, 2015. 436 pages, 103 graphs, 1497 references. Gideon e-books,
2. Berger SA:

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FDA fails to find E. coli in celery-onion mix

Follow-up testing of a celery and onion mix linked to an E. coli O157:H7 outbreak has failed to confirm presence of the pathogen.



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PRO/AH/EDR> Avian influenza (208): France (LD) poultry, HPAI H5

Avian Influenza -- France
After the Dordogne [see archive no http://bit.ly/1Nb8kW3], avian influenza has affected the [department of] Landes. The Ministry of Agriculture confirmed Mon 7 Dec 2015, the detection of at least 2 new cases in this department. Highly pathogenic avian influenza virus was discovered in a farm breeding guinea fowl and rearing ducks, with high mortality. A 3rd, nearby farm is suspected.
The Landes prefect has undertaken measures to contain the outbreak, including

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PRO/AH/EDR> Influenza (54): Iran (KE, SB) H1N1, Pakistan (IS) H1N1 pdm09

Influenza H1N1 -- Iran
An outbreak of swine flu has left 33 people dead in 2 provinces of southeastern Iran in the past 3 weeks, the official IRNA news agency reported on Mon [7 Dec 2015].
IRNA quoted Deputy Health Minister Ali Akbar Sayyari as saying there had been 28 deaths in Kerman province and 5 in Sistan-Baluchistan and warning that the H1N1 virus was likely to spread to other areas including the capital Tehran. "The health ministry predicts that the virus will spread in the coming days to Tehran, West and

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PRO/AH/EDR> Avian influenza (207): Germany (BY) poultry, LPAI H5N2, OIE

Avian Influenza -- Germany
Information received on [and dated] 8 Dec 2015 from Dr Karin Schwabenbauer, Ministerial Director and Chief Veterinary Officer, Directorate of Animal Health, Animal Welfare, [Federal Ministry of Food, Agriculture and Consumer Protection] (BMELV), Bonn, Germany.
Summary
Report type: immediate notification
Date of start of the event: 4 Dec 2015
Date of confirmation of the event: 7 Dec 2015
Reason for notification: reoccurrence of a listed disease
Date of previous occurrence: July

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Tuesday 8 December 2015

Illnesses from E. coli O26 outbreak pass 50

The number of illnesses in the E. coli O26 outbreak linked to Chipotle Mexican Grill has risen to 52.



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Fruzio frozen berries recalled in Hepatitis A investigation

FSL Foods has recalled frozen berries imported from China as part of the investigation into four Hepatitis A cases in New Zealand.



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Salmonella illnesses linked to nut butter spreads

Salmonella has sickened 11 people from nine states with a link identified to raw nut butter products.



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WHO: One in 10 hit by foodborne illness each year

Each year as many as 600 million, or almost one in 10 people in the world, fall ill after consuming contaminated food, according to the World Health Organization (WHO).



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PRO/EDR> Diphtheria - Latvia

Diphtheria -- Latvia
Despite state-funded vaccines, cases of diphtheria in Latvia have doubled in the last 3 years. At a time when the disease has been all but eradicated in other EU countries, in Latvia 20 people have died from diphtheria in the last 15 years, including 4 children. Parents' irresponsibility, lack of knowledge, and myths about vaccination are to blame, Latvian Radio reported on Mon 16 Nov 2015; 1/3rd of the EU's diphtheria patients are Latvians.
The last diphtheria outbreak in Latvia happened

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PRO/AH/EDR> Crimean-Congo hem. fever - Pakistan (20): (PB)

Crimean-Congo Hemorrhagic Fever -- Pakistan
In Rawalpindi, 2 CCHF positive cases are admitted at Holy Family Hospital. Both cases are from District Chakwal and are brother and sister. They have cattle at home and are farmers by profession. Both are stable and are recovering.
Almost 35 close contacts are under observation. Dr. Alamgir Nawabi, District Health Officer Chakwal, Punjab is following the family and cases.
--
Communicated by:
ProMED-mail

[These are the 4th and 5th cases of CCHF in Punjab province that ProMED-mail has

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PRO/EDR> Cholera, diarrhea & dysentery update (40): Middle East, Iraq

Cholera -- Iraq
"The use of vaccines to prevent and control cholera is currently under debate. Shanchol is 1 of the 2 oral cholera vaccines prequalified by the World Health Organization; however, its effectiveness under field conditions and the protection it confers in the 1st months after administration remain unknown. The main objective of this study was to estimate the short-term effectiveness of 2 doses of Shanchol used as a part of the integrated response to a cholera outbreak in

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PRO/AH/EDR> Undiagnosed hemorrhagic fever - Sudan (07): (Darfur) comment

Fever -- Sudan


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PRO/AH/EDR> Bluetongue - Europe (21): Bosnia & Herzegovina, livestock, st. not typed, OIE

Bluetongue -- Bosnia and Herzegovina
Information received on [and dated] 8 Dec 2015 from Dr Ljubomir Kalaba, Director, Veterinary Office, Ministry of Foreign Trade and Economic Relations, Sarajevo, Bosnia and Herzegovina.
Summary
Report type: immediate notification
Date of start of the event: 22 Sep 2015
Date of confirmation of the event: 15 Oct 2015
Reason for notification: Reoccurrence of a listed disease
Date of previous occurrence: 24 Feb 2015
Manifestation of disease: clinical disease
Causal agent: bluetongue

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PRO/AH/EDR> Avian influenza (206): Germany (BY) poultry, conf, LPAI H5N2

Avian Influenza H5N2 -- Germany
Laboratory tests have proven the virus detected on a poultry farm is of the low pathogenic variant of the H5N2 avian influenza virus. But even with this variant there is the risk of its developing into a high pathogenic form affecting birds. Therefore, the culling of the poultry on the holding affected was carried out and will be finished today [7 Dec 2015] followed by thorough cleaning and disinfection.
For the protection of all commercially or privately kept birds a protection zone

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Illnesses from E. coli O26 outbreak pass 50

The number of illnesses in the E. coli O26 outbreak linked to Chipotle Mexican Grill has risen to 52.



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PRO/EDR> Diphtheria - Pakistan: (PB) fatalities

Diphtheria -- Pakistan
Due to unavailability of life-saving drugs, 7 children have died of diphtheria during the last few weeks at the Children's Hospital [Lahore, Punjab province].
Many other children are at grave risk. "Reports of diphtheria cases are reaching the health secretariat from some other parts of the province (Punjab)," a senior official told Dawn. He said that, being an acute toxin-mediated disease, diphtheria has a terribly high mortality ratio. Provision of the drug diphtheria antitoxin (DAT) from

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PRO/EDR> Pertussis - Spain (03): (MD) infant fatality

Whooping Cough -- Spain
A baby only a month and 10 days old has died of pertussis at the University Hospital La Paz in Madrid, the Ministry of Health of the Community of Madrid has confirmed. The newborn died on 5 Dec 2015 in the intensive care unit of the center.
The Ministry of Health explained that the 1st dose of vaccine against whooping cough cannot be given until the baby is 2 months old and that infants under 4 months old are the most vulnerable group to the disease.
The baby's death happened the same

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